Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,456.80 / $10,122.46 / $27,982.24	Facility		$2,456.80	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.78 / $2,456.80 / $3,758.90	Professional		$983.78	$2,456.80	$3,758.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,517.32 / $26,471.17	Facility		$55.00	$2,517.32	$26,471.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,706.13 / $4,627.32 / $18,140.55	Professional		$2,706.13	$4,627.32	$18,140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,345.55 / $4,730.75 / $6,291.44	Professional		$3,345.55	$4,730.75	$6,291.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,758.63 / $3,538.58 / $4,375.82	Facility		$1,758.63	$3,538.58	$4,375.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,016.04 / $3,556.18 / $4,656.08	Professional		$2,016.04	$3,556.18	$4,656.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $1,188.00 / $1,697.14	Professional		$169.71	$1,188.00	$1,697.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,300.58 / $1,464.01 / $1,625.73	Facility		$1,300.58	$1,464.01	$1,625.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.32 / $2,517.32 / $2,840.71	Facility		$2,517.32	$2,517.32	$2,840.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,840.71 / $4,444.43 / $5,638.53	Professional		$2,840.71	$4,444.43	$5,638.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,705.01 / $4,043.38 / $5,504.27	Professional		$2,705.01	$4,043.38	$5,504.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,992.27 / $3,008.50 / $4,849.41	Professional		$1,992.27	$3,008.50	$4,849.41